title: [Influence of auricular point sticking on incidence of nausea and vomiting and analgesia effect after gynecological laparoscopy].
abstract: OBJECTIVE
  To observe the influence of auricular point sticking on incidence of nausea and vomiting and analgesia effect after gynecological laparoscopy, and provide evidence for clinical application of auricular point sticking.
  
  
  METHODS
  One hundred and twenty cases of selective gynecological laparoscopy under general anesthesia were randomly divided into an auricular point sticking group and a placebo group, 60 cases in each group. In the auricular point sticking group, the auricular point sticking with vaccaria seeds was applied at Shenmen (TF 4), Wei (CO 4) and Jiaogan (AH 6a) before the operation and 1, 5, 9, 23 h after the operation, which were pressed 5 min each point each time. The two ears were proceeded at the same time. In the placebo group, the same point selection, sticking paste was used as the auricular point sticking group, but no sticking or pressing with vaccaria seeds was adopted. The incidence of nausea and vomiting, the usage rate of tropisetron and morphine within 24 hours of the operation, as well as the score of visual analogue scale (VAS) and other adverse reactions at 2, 6, 10, 24 h after the operation were observed respectively.
  
  
  RESULTS
  Compared with the placebo group, the incidence of nausea and vomiting [31.7% (19/60), 16.7% (10/60) vs 58.3% (35/60), 35.0% (21/60)], the usage rate of tropisetron [21.7% (13/60) vs 48.3% (29/60)] and morphine [18.3% (11/60) vs 38.3% (23/60)], the VAS scores at all different time points in the auricular point sticking group were all decreased (all P < 0.05), and no adverse reaction was observed.
  
  
  CONCLUSIONS
  The auricular point sticking could significantly decrease the incidence of nausea and vomiting in patients of gynecological laparoscopy and has positive analgesic effect.
authors.affiliation: Department of Scientific Research, Qingdao Municipal Hospital, Qingdao 266011, Shandong Province, China. zhanlihong2000@126.com
authors.forename: Li-Hong
authors.initials: LH
authors.lastname: Zhang
authors.forename: Chun-Ling
authors.initials: CL
authors.lastname: Cao
authors.forename: Jing-Zhu
authors.initials: JZ
authors.lastname: Li
authors.forename: Mei-Lun
authors.initials: ML
authors.lastname: Chen
authors.forename: Ming-Shan
authors.initials: MS
authors.lastname: Wang
authors.forename: Chun-Yang
authors.initials: CY
authors.lastname: Dai
mesh_terms: D015667:Acupuncture Analgesia; D015669:Acupuncture Points; D020831:Acupuncture, Ear; D000328:Adult; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery*; D006176:Gynecology; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D009325:Nausea / Q000209:etiology / Q000628:therapy*; D014839:Vomiting / Q000209:etiology / Q000628:therapy*; D055815:Young Adult